Apollonia Insurance Admin - Settle Remittances

Transaction Date From:

Transaction Date To:

clear

Payment Settled Date From:

Payment Settled Date To:

clear

Insurance Company:

Payer:

E-Claim Payment Reference:

Branch:

Claim Number:

Is Settled:

Not Mapped Claims:

Negative Claim Amount:

ActivitiesTotalNetInput:

Payment Reference

Insurance Company

Transaction Date

Actions

Bank Payment Reference (Invoice Note):

Payment Amount:

Mode of transfer:

Payment Value: